Presentation
Intractable hiccups and vomiting, since 15 days.
Patient Data
Age: 30 years
Gender: Female
From the case:
Area postrema syndrome
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A small focal non-enhancing T2 and FLAIR hyperintensity is noted in the dorsal medulla oblongata, at the floor of the fourth ventricle without any mass effect.
From the case:
Area postrema syndrome
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Chest x-ray is unremarkable. No focal mediastinal lesion.
Case Discussion
The patient's hematology, biochemistry and autoimmune workup, abdominal imaging and upper endoscopy were all normal. MRI brain features and patient’s intractable hiccups, suggestive of area postrema syndrome, usually seen in the context of neuromyelitis optical spectrum disorder. The patient completely recovered following treatment with steroids.
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